Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,548.13 / $12,022.64	Facility		$794.33	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $645.65	Professional		$371.54	$436.52	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $37,153.52 / $74,131.02	Facility		$21,379.62	$37,153.52	$74,131.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $575.44	Professional		$331.13	$426.58	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $27,542.29	Facility		$27,542.29	$27,542.29	$27,542.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $831.76	Professional		$380.19	$512.86	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $109,647.82	Facility		$54.95	$56.23	$109,647.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,162.28	Professional		$2,630.27	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,819.70 / $6,918.31	Facility		$416.87	$1,819.70	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,380.38	Professional		$380.19	$478.63	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $891.25	Facility		$346.74	$478.63	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $831.76	Professional		$363.08	$512.86	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $26,302.68 / $100,000.00	Facility		$10,471.29	$26,302.68	$100,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $660.69	Professional		$323.59	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $354.81	Professional		$323.59	$323.59	$354.81